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Difficulty: MediumStandard and Transmission-Based Precautions

The healthcare team is coordinating the transfer of a client diagnosed with *Haemophilus influenzae* type b (Hib) meningitis to a different unit. Which action by the practical nurse demonstrates the correct infection control procedure for this client's transport?

  1. A
    Ensure the transport personnel wear fit-tested N95 respirators.
  2. B
    Instruct the receiving unit to prepare a negative-pressure isolation room.
  3. Place a standard surgical mask on the client before leaving the room.Answer
  4. D
    Cover the client's transport stretcher completely with a clean, impermeable sheet.

Answer

Place a standard surgical mask on the client before leaving the room.
*Haemophilus influenzae* type b (Hib) meningitis requires droplet precautions. When transporting a client on droplet precautions outside of their room, placing a standard surgical mask on the client acts as source control, containing the large respiratory droplets and preventing transmission to the environment and other individuals.

Step-by-Step Solution

1
Identify the transmission route for the specified pathogen.
*Haemophilus influenzae* type b (Hib) meningitis is transmitted via large respiratory droplets.
Determining the specific mode of transmission dictates which category of isolation precautions must be applied.
2
Determine the required protocol for client transport under droplet precautions.
The standard protocol requires the client to wear a standard surgical mask during transport.
Source control by masking the client is the most effective way to prevent the spread of large infectious droplets to others in hallways and common areas.

Key Concept

Transmission-Based Precautions: Droplet Precautions during Transport
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Topics

Standard and Transmission-Based Precautions

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